⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Jaime EstradaMD

Family Practice · Calexico, CA 92231

NPI: 1306917661

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,767

Total Claims

$3.1M

Drug Cost

1,092

Beneficiaries

$2,827

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-95%

Opioid rate vs peers

0.1% vs 2.6% avg

+165%

Cost per patient vs peers

$2,827 vs $1,068 avg

+60%

Brand preference vs peers

14.4% vs 9.0% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

0.1%

Opioid Rate

28

Opioid Claims

$145

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,104 claims · $2.6M

Generic: 18,511 claims · $479K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide377$480K
Semaglutide301$379K
Linagliptin284$255K
Sitagliptin Phos/Metformin Hcl133$168K
Empagliflozin112$110K
Apixaban137$108K
Denosumab50$86K
Sitagliptin Phosphate77$85K
Icosapent Ethyl177$82K
Linaclotide102$71K
Lipase/Protease/Amylase28$56K
Budesonide/Formoterol Fumarate111$51K
Liraglutide30$47K
Linagliptin/Metformin Hcl42$45K
Fluticasone/Umeclidin/Vilanter50$43K

Prescribing Profile

139

Unique Drugs

$405K

IRA Negotiated Drugs

$939K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

76

Avg Age

61%

Female

1.75

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data